go back

Maine rates for HCPCS Q5123

Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $61.50 / $19,782.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $27.57 / $36.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $29.47 / $84.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $29.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $73.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $61.50 / $19,782.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $27.58 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $39.77